What are the responsibilities and job description for the Medical Coder Lead position at Premier Medical Resources and Careers?
Revenue Cycle Management is looking for a Medical Coder Lead to join our team!
SUMMARY
The Medical Coder Lead is responsible for serving as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding accuracy, compliance, and productivity standards are met. The position supports coders and auditors through consultation, mentoring, and expertise on complex coding scenarios.
The Medical Coder Lead is responsible for serving as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding accuracy, compliance, and productivity standards are met. The position supports coders and auditors through consultation, mentoring, and expertise on complex coding scenarios.
ESSENTIAL FUNCTIONS:
- Serve as a resource and consultant for coders on complex or specialty coding scenarios.
- Review and provide guidance on challenging cases to ensure coding accuracy and compliance.
- Partner with auditors to resolve discrepancies and identify trends in coding errors.
- Provide mentoring and technical support to coders, promoting knowledge sharing and best practices.
- Assist in developing and updating coding procedures, guidelines, and reference materials.
- Collaborate with clinical, billing, and RCM teams to clarify documentation and optimize coding accuracy.
- Monitor coding metrics and provide feedback on coding efficiency, productivity, and quality.
- Participate in education sessions, audits, and case reviews to support continuous improvement.
- Serve as a liaison between coders, auditors, and management to resolve workflow or compliance issues.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Advanced knowledge of CPT, ICD-10-CM, ICD-10-PCS, and HCPCS coding guidelines, conventions, and compliance standards.
- Strong analytical, auditing, and problem-solving skills for complex coding scenarios.
- Ability to coach, mentor, and provide technical guidance to coding staff.
- Solid leadership and conflict resolution skills.
- Excellent collaboration and communication skills across clinical, billing, and RCM teams.
- Detail-oriented with strong organizational and documentation abilities.
- Ability to manage multiple audits and reporting deadlines.
- Knowledge of regulatory and payer compliance requirements.
- Proficiency with coding software, EHRs, and reporting tools.
EDUCATION AND EXPERIENCE:
- High school diploma or GED
- Seven (7) years of coding experience, including auditing responsibilities.
- Certified Professional Coder (CPC) / Certified Outpatient Coder (COC) by AAPC or; Certified Coding Specialist (CCS) by AHIMA.
BENEFITS:
- 3 Medical Plans
- 2 Dental Plans
- 2 Vision Plans
- Employee Assistant Program
- Short- and Long-Term Disability Insurance
- Accidental Death & Dismemberment Plan
- 401(k) with a 2-year vesting
- PTO Holidays
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
Employment for this position is contingent upon the successful completion of a background check and drug screening.